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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Kendall Wayne Southern, D.O., D.PH.

Psychiatry Physician in Vinita, OK · enumerated 2006 · practices at Oklahoma Forensic Center.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407917792

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Registry record

Entity type Individual (Type 1)
Name Dr. Kendall Wayne Southern
Credential D.O., D.PH.
Sex Male
Practice address Vinita, OK, 74301
Fax (918) 256-2952
Enumeration date Dec 12, 2006
Last updated in NPPES Oct 17, 2011

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

183500000X Pharmacist Pharmacy Service Providers · License 9440 (OK) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 2333 (OK) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 2333 (OK) Primary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License H9426 (TX) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License DO-641 (AL) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 48464 (GA) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 5101009836 (MI) Secondary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
100124360A Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kendall Southern?
The National Provider Identifier (NPI) for Kendall Southern is 1407917792, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kendall Southern practice?
The practice location on file with NPPES is in Vinita, OK. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-17.